Guy’s and St Thomas’ NHS Foundation Trust

London, United Kingdom

Guy's and St Thomas' NHS Foundation Trust is one of the largest teaching hospitals in the UK. It provides 2.4 million patient contacts in acute and specialist hospital services and community services every year. As one of the leading NHS trusts in the UK, with an annual turnover of almost £1.5 billion, it employs around 16,200 staff.

Thomas Addison, Thomas Hodgkin, Richard Bright and Alfred Poland are among a number of other eminent physicians and surgeons who worked at Guy’s and St Thomas’ Hospitals. In 1860, Florence Nightingale, the founder of modern nursing, established the first professional training school for nurses, the Nightingale Training School at St Thomas’ Hospital. For a brief history of Guy’s and St Thomas’ (GSTT) hospital please click here.

Guy’s and St Thomas’ NHS Foundation Trust is part of King’s Health Partners Academic Health Sciences Centre (AHSC), a collaboration between King’s College London (KCL), Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts. King’s is the largest centre for the education of doctors, dentists and other healthcare professionals in Europe. Within the Faculty of Life Sciences & Medicine, the King’s College London GKT School of Medical Education is responsible for the education and training of medical students.

The Department of Orthopaedics of Guy’s and St Thomas’ NHS Foundation Trust is one of London's leading orthopaedic departments and a centre of excellence, offering the full range of specialist Orthopaedic services. The Department of Orthopaedics is also a member of the Specialist Orthopaedic Alliance.

In 2020, Guy’s and St Thomas’ multidisciplinary Hand Unit was founded, including the Orthopaedic and Plastic Hand Surgery and the Hand Therapy teams. Mr Garagnani and Dr Sandford, Consultant Hand Therapist, were appointed the first joint Leads of the GSTT Hand Unit.

As a tertiary referral centre, the whole range of hand, wrist and upper limb disorders are assessed and treated at Guy’s and St Thomas’.

Furthermore, Mr Garagnani has also founded and leads jointly with the Consultant Clinical Geneticist Dr Holder a highly specialised Congenital Upper Limb and Hand Anomalies Clinic (CULHA) at St Thomas’ Hospital. This is the only multidisciplinary genetics – hand surgery clinic of its kind in London. Paediatric and adult patients with complex congenital limb anomalies are assessed and treated by a multidisciplinary team that also includes Hand Therapists and Occupational Therapists.

Among the hand and wrist procedures routinely performed at Guy’s and St Thomas’ there are:

• treatment of complex wrist and carpal fractures and dislocations
• treatment of hand trauma
• wrist arthroscopy
• hand and wrist ligament and tendon repair and reconstruction
• correction of hand and wrist malunions
• hand and wrist joint replacement/fusion
• scaphoid non-union surgery
• tendon transfers
• rheumatoid hand surgery
• peripheral nerve surgery
• the entire range of elective hand and wrist procedures
• congenital hand and upper limb anomalies surgery

Research opportunities are also available for fellows.

www.guysandstthomas.nhs.uk
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